No identifiable Hb1Ac or lifestyle change after a comprehensive diabetes programme including motivational interviewing: a cluster randomised trial.

Objective: To study the effectiveness of a comprehensive diabetes programme in general practice that integrates patient-centred lifestyle counselling into structured diabetes care. Design and setting. Cluster randomised trial in general practices.

Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial.

Background: The effectiveness of nurse-led motivational interviewing (MI) in routine diabetes care in general practice is inconclusive. Knowledge about the extent to which nurses apply MI skills and the factors that affect the usage can help to understand the black box of this intervention. The current study compared MI skills of trained versus non-trained general practice nurses in diabetes consultations.

Misperception of patients with type 2 diabetes about diet and physical activity, and its effects on readiness to change.

Background: The aim of the present study was to assess misperceptions about lifestyle among patients with type 2 diabetes and their effects on readiness to change.

Methods: Nine hundred and forty patients, with an HbA1c >7% and a body mass index >25 kg/m(2), from 57 general practices participated in a cross-sectional survey. Misperceptions of lifestyle (fruit, vegetable, and fat consumption, as well as physical activity) and readiness to change were determined with validated questionnaires.

Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis.

Background: Patient outcomes are poorly affected by lifestyle advice in general practice. Promoting lifestyle behavior change require that nurses shift from simple advice giving to a more counseling-based approach. The current study examines which barriers nurses encounter in lifestyle counseling to patients with type 2 diabetes.

Nurse-led motivational interviewing to change the lifestyle of patients with type 2 diabetes (MILD-project): protocol for a cluster, randomized, controlled trial on implementing lifestyle recommendations.

Background: The diabetes of many patients is managed in general practice; healthcare providers aim to promote healthful behaviors, such as healthful diet, adequate physical activity, and smoking cessation. These measures may decrease insulin resistance, improve glycemic control, lipid abnormalities, and hypertension. They may also prevent cardiovascular disease and complications of diabetes.